Chronic heart failure, depression Circulatory System Heart failure
Conditions
Interventions
Eight sessions in a psychotherapy group (six to nine patients per group), 90 minutes each, over three months, versus care as usual (patients are informed about depression diagnosis and are motivated t
Sponsors
German Federal Ministry of Education and Research (Bundesministerium Für Bildung und Forschung [BMBF]) (Germany)
Eligibility
Inclusion criteria
Inclusion criteria: 1. Outpatients with documented, stable chronic heart failure 2. New York Heart Association (NYHA) functional class I to III 3. Any depressive disorder or major depressive disorder according to 9-item Patient Health Questionnaire (PHQ-9) AND dysthymia or adjustment disorder or major depressive disorder with mild or medium severity according to Structured Clinical Interview for Depression Interview (SCID-I) 4. Age equal or greater than 18 years
Exclusion criteria
Exclusion criteria: 1. Acute physical illness that makes participation impossible, according to investigator's assessment 2. Participation in other clinical intervention trial 3. Dementia or other psychiatric disorder, that compromise patients' abilities to study compliance 4. Alcohol or drug abuse 5. Severe major depressive disorder 6. Acute suicidal tendency 7. Current psychotherapeutic treatment
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Depression severity according to PHQ-9 summary score at the end of the intervention. | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. PHQ-9 summary score three months after the intervention 2. Generic (36-item Short Form health survey [SF-36]) and disease-specific (Kansas City Cardiomyopathy Questionnaire [KCCQ]) quality of life 3. Anxiety severity (7-item Generalised Anxiety Disorder scale [GAD-7]) 4. Resilience (Resilience Scale) 5. Hopelessness 6. Vital exhaustion 7. Self-reported adherence to heart failure self-management | — |
Countries
Germany
Outcome results
None listed